Nutrition Assessment and Interventions for the Prevention and Treatment of Malnutrition in Older Adults: An Evidence Analysis Center Scoping Review.

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Date: Oct. 2021
Publisher: Elsevier Science Publishers
Document Type: Report; Brief article
Length: 350 words

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Abstract :

Abstract Older adults living in the community or long-term residence such as a nursing home are at increased risk for malnutrition due to factors such as depression and isolation. The purpose of this scoping review is to identify the best available research that evaluates the validity and reliability of nutrition assessment tools, and the effectiveness of nutrition interventions to prevent or treat malnutrition among older adults. A literature search was conducted in Medline, Embase, CINAHL, and Cochrane Central databases to identify clinical trials, published in the English language, evaluating assessment and intervention methods aimed to treat or prevent malnutrition among older adults living in the community or their long-term residence such as nursing homes. Articles were screened by 2 reviewers, then data were extracted and narratively synthesized. The literature search retrieved 20,937 articles and 197 articles were included in narrative synthesis. A total of 73 assessment articles were identified, 36 of which were validity and reliability trials. A total of 122 intervention articles were identified, the majority of which were randomized controlled trials. A few of the most commonly evaluated interventions were oral nutrition supplements, medical nutrition therapy, fortification and enrichment, and nutrition education. Several systematic reviews were identified, however, that did not meet the criteria of this review. There is a need to conduct systematic reviews for nutrition assessment and intervention trials to guide development of evidence-based nutrition practice recommendations for older adults living in the community or their long-term residence. Author Affiliation: (1) Academy of Nutrition and Dietetics, Evidence Analysis Center, Chicago, IL (2) Division of Nutritional Sciences, Cornell University, Ithaca, NY * Address correspondence to: Lisa Moloney, MS, RDN, Academy of Nutrition and Dietetics, Evidence Analysis Center, 120 S. Riverside Plaza, Suite 2190 Chicago, IL 60606-6995. (footnote) Supplementary materials: is available at www.jandonline.org(http://www.jandonline.org) (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. (footnote) FUNDING/SUPPORT This work was supported by the Academy of Nutrition and Dietetics; Dietetics in Health Care Communities DPG; Academy of Nutrition and Dietetics Foundation. Byline: Lisa Moloney, MS, RDN [lmoloney@eatright.org] (1,*), Brittany Jarrett, PhD, RDN (2)

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Gale Document Number: GALE|A676152121